PlainNursing
CMS Nursing Home Compare · August 2026

Accura HealthCare of Tekamah

823 M Street, Tekamah, NE 68061

Accura HealthCare of Tekamah, a 44-bed for profit - corporation nursing facility in Tekamah, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #154 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4023741414

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1 / 5
Much below average · CMS overall · nat'l 3.0
#154 of 178
In-state rank among rated NE homes
2.91
Well below average · nurse hrs/day · nat'l 3.86
15
Inspection findings

The verdict

Accura HealthCare of Tekamah, a 44-bed for profit - corporation nursing facility in Tekamah, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #154 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

1 / 5
CMS overall · national 3.0
#154 of 178
In-state rank among rated NE homes
2.91
Nurse hrs/resident-day · national 3.86
15
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 180 NE nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
285118
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
44
Residents
35
In Hospital
No
County
Burt
Last Inspection
Feb 12, 2026

Staffing Data

How the 2.91 total nursing hours per resident-day are staffed:

RN Hours
0.37 (nat'l avg: 0.69)
LPN Hours
0.65
CNA Hours
1.88
Total Nursing Hours
2.91 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
51.6%
RN Turnover
77.8%

What the CMS Record Reveals About Accura HealthCare of Tekamah

According to CMS Nursing Home Compare, Accura HealthCare of Tekamah ranks #154 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Accura HealthCare of Tekamah operates 44 certified beds in Tekamah, NE with approximately 35 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 2★).

The inspection file contains 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 2.91 total nursing hours per resident day (national average 3.86), with RN coverage at 0.37 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Accura HealthCare of Tekamah falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 12, 2026 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 12, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 12, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 12, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2026

E - Pattern - Minimal harm Feb 12, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 3, 2026

F - Widespread - Minimal harm Feb 12, 2026 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 3, 2026

F - Widespread - Minimal harm Feb 12, 2026 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 3, 2026

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Sep 14, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2023

E - Pattern - Minimal harm Sep 14, 2023 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: Oct 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Accura HealthCare of Tekamah, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Accura HealthCare of Tekamah

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
  • Peer homes near 44 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Accura HealthCare of Tekamah?
Accura HealthCare of Tekamah has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (2★).
Where does Accura HealthCare of Tekamah rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Accura HealthCare of Tekamah ranks 154th among 178 rated nursing homes in NE (#154 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Accura HealthCare of Tekamah?
Accura HealthCare of Tekamah reports 2.91 total nursing hours per resident day (national average: 3.86). RN hours are 0.37 per resident day (national average: 0.69). Nursing staff turnover is 51.6%.
How many beds does Accura HealthCare of Tekamah have?
Accura HealthCare of Tekamah has 44 certified beds with approximately 35 residents. The facility is located at 823 M Street, Tekamah, NE 68061.
Does Accura HealthCare of Tekamah have any deficiencies on record?
Yes, Accura HealthCare of Tekamah has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Accura HealthCare of Tekamah received any fines or penalties?
No, Accura HealthCare of Tekamah has no fines or penalties on record.
Who owns Accura HealthCare of Tekamah?
Accura HealthCare of Tekamah is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Accura HealthCare of Tekamah last inspected?
The most recent health inspection for Accura HealthCare of Tekamah was on Feb 12, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Accura HealthCare of Tekamah?
Accura HealthCare of Tekamah is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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